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Individual

DR. GARY L WARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
2725 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901-2346
(573) 686-5510
Mailing address
1500 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901-3318
(573) 686-4151

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
106997
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
188274
BLUE CROSS BLUE SHIELD
MO
05
502259203
MO
Enumeration date
04/19/2006
Last updated
07/26/2021
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